Kerry A Burnside, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4009 024 Issued in WI

Practice address

503 S Cherry Ave Ste 2
Marshfield, WI 54449-4276

Phone

(715) 898-1812

Fax

(715) 898-1815

NPI assigned

May 11, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McMahon Chiropractic and Physical Therapy Clinic LLC

  • Chiropractor
  • Eau Claire, WI
  • NPI 1265625008

  Physical Therapist

  NPD (past)
• Sport & Spine Clinic LP

  • Physical Therapist
  • Auburndale, WI
  • NPI 1043252695
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1891900288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016122",
            "telephone_number": "715-717-5366",
            "fax_number": "715-717-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S CHERRY AVE STE 2",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494276",
            "telephone_number": "715-898-1812",
            "fax_number": "715-898-1815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1109 W Clairemont Ave",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016105",
            "country_code": "US",
            "telephone_number": "715-717-5366",
            "fax_number": "715-717-1878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNSIDE",
        "first_name": "KERRY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4009 024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kburnside108523@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1109 W Clairemont Ave",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aaron D Buck, CRNA
• Kamilla J Buddemeier, MD
• Lindsey Budke
• Tra Thi Thanh Bui, PA
• Jolanda Burnett, ABOC
• Olivia N Burris, APNP
• Raquel Tanya Buser, MD
• David Alan Bushee
• Scott T Buskerud, CRNA
• Virginia Zermeno Bustamante

• Physical Therapist in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.